Jessie Acebo

Individual provider Active NPI Home Delivered Meals · Opa Locka, FL

NPI 1790100683 · NPPES record last updated Feb 28, 2014

Key facts

NPI
1790100683
Entity type
Individual (NPI type 1)
Primary specialty
Home Delivered Meals 332U00000X
Practice address
13700 NW 19TH Ave Unit 17
Opa Locka, FL 33054-4232
Phone
(786) 222-7654
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Yes

Addresses

Primary practice location

13700 NW 19TH Ave Unit 17
Opa Locka, FL 33054-4232

Mailing address

13700 NW 19TH Ave Unit 17
Opa Locka, FL 33054-4232
Phone (786) 222-7654

Other providers in Opa Locka, FL

All providers in Opa Locka, FL · Home Delivered Meals in Florida

Sources for this page

Verify at the official NPI Registry.